Provider Demographics
NPI:1609919281
Name:TURCOTTE, WILMA J (MHAI)
Entity Type:Individual
Prefix:MS
First Name:WILMA
Middle Name:J
Last Name:TURCOTTE
Suffix:
Gender:F
Credentials:MHAI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7729 WHISPERING PALMS DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-3919
Mailing Address - Country:US
Mailing Address - Phone:916-202-2870
Mailing Address - Fax:
Practice Address - Street 1:2830 STOCKTON BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2301
Practice Address - Country:US
Practice Address - Phone:916-736-2577
Practice Address - Fax:916-736-2470
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator